Finger Lakes Health Systems Agency
The Value of Regional Health Planning
Fran Weisberg, Executive Director
Public Health and Health Planning Council
Health Planning Committee
September 5, 2012
Welcome to Rochester!
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FLHSA: Vision, Mission & Strategy
Vision: We envision being America’s healthiest community with health equity for
all people in our region, while serving as a national model for continuous
improvement in community health and healthcare cost and quality.
Mission: We bring focus to community health issues via data analysis, community
engagement, and solution implementation through community collaboration and
partnership..
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FLHSA’s Roles
• Host “the community table” in the
nine-county Finger Lakes region
– Convene and staff task forces and
commissions
• A catalyst to drive change
• Provide local input to state regulators
• Maintain extensive and objective
community health data
• Help secure funding
• Staff with 150+ years of experience
in health-system analysis
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Rochester’s Collaborative Model
• 1,115 people in our
community involved in local
health planning efforts
– Representing 390 organizations
– Actively involved in 20+ major
committees, coalitions
– Informing and supporting
FLHSA analytics through:
- Community education
- Community mobilization
- Grassroots advocacy for change
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Health Planning in Action: 2020 Commission
Batched CON review of hospital expansion projects
•
Balanced hospitals’ modernization plans against community
needs and resources
Process: Why successful
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Included active participation of all stakeholders: hospitals, providers,
minority communities, payers, business leaders, and the public
Reached a community consensus: Broad stakeholder support and a
unanimous Commission vote
NYS DOH was an integral part of the process and embraced
the recommendations
Results
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Monroe County’s three major hospitals will add 126 fewer hospital
beds than requested (saving $20 million in annual operating costs)
Hailed by DOH as “exciting and innovative”
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2020 Performance
Commission
PQI
ED
Rural
Reduce readmissions
and
avoidable ED visits
Reduce preventable hospitalizations by 25%
by 2014
Earlier return to treating physician, more engaged
patient/family, improved access to practitioners,
adherence to evidence-based guideline-directed care
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PQI / ED
Work Group
Transitions
Coaching
Embedded
Care Mgrs.
Discharge
Planning
Reduce readmissions
and
avoidable ED visits
Reduce preventable hospitalizations by 25%
by 2014
Earlier return to treating physician, more engaged
patient/family, improved access to practitioners,
adherence to evidence-based guideline-directed care
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2020 PC: Results
• Hospitals agreed to common
discharge standards
• Insurers paying for coaching
• Placed care managers in PCP offices
• 25-30% reductions in hospital
readmission rates among coached
patients.
• Goal: Save more than $150M in local
health-care costs by 2014
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Sage Commission
• Developed a comprehensive, longrange plan to address the health
service needs of the 65 and older
population
• Created a vision for a local system
that makes health care more
accessible for older adults,
minimizes disparities, and that is
financially viable
• Plan completed, sent to NYS in
spring 2011
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Pursuing the Triple Aim: Addressing the Demand Side
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Healthi Kids – childhood obesity/overweight
African American and Latino Health Coalitions
Coalition to Prevent Lead Poisoning
Partnership on the Uninsured
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High Blood Pressure Collaborative
• FLHSA-Rochester Business Alliance
partnership to improve hypertension
care
• Working to decrease HBP’s
devastating impact on adults and
families in Monroe County
• Multi-stakeholder coalition of 50
community organizations and 100
individuals
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Benefits of Regional Health Planning
• Stakeholders have an open
forum to discuss and resolve
health issues
• Consumers obtain better
information about their own health
and health care
• Local health departments can make
sure underserved populations aren’t
left behind.
• NYS policymakers can establish
policies solidly based on local
information and local needs
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Recognized as a National Leader: A Success Story
CMS CTI $3M Grant
• Leveraged by NYSDOH
HEAL grant
CMMI $26.6M Grant
• The largest Health Care Innovation grant
in the nation
Three-Pronged Approach
• Support primary care
• Address the social and behavioral effects
on health
• Create a primary-care payment model
that rewards better outcomes
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The Value of Regional Health Planning to CON Reform
• Focus more on reducing demand for care than controlling
the supply of care facilities;
• Provide essential data that help hospitals and other
stakeholders to define local needs;
• Facilitate community agreement on effective strategies
among providers, consumers and payers to coordinate
care, reduce unnecessary utilization, and promote
population health;
• Conduct proactive studies of community health needs;
• Provide a recognized forum for community and consumer
engagement; and
• Secure federal and state resources to support hospitals
as they transform to new models of care
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“If you build it with them –
They will already be there!”
- Debra L. Ness, President
National Partnership for Women & Families
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Finger Lakes Health Systems Agency
The triangle represents our agency’s role as a fulcrum—the point on which a
lever pivots—boosting the community’s health by leveraging the strengths of
all stakeholders. The fulcrum is also a point of equilibrium, reflecting our
ability to balance the needs of consumers, providers and payers on complex
health matters. The inner triangle also evokes the Greek letter delta—used in
medical and mathematical contexts to represent change—with a forward lean
as we work with our community to achieve positive changes in health care.
Give me a lever long enough and a fulcrum on which to place it,
and I shall move the world. —Archimedes
1150 University Avenue • Rochester, New York • 14607-1647
585.461.3520 • www.FLHSA.org
September 14, 2012
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